NPI age
20 years
Enumerated 2006-05-17
● Active
Type 1 · Individual
DR. Jay Leslie Borgholthaus, OD
Borgholthaus is 1 of 14 optometrist providers in Pocatello and 1 of 598 in Idaho.
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-06-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 598 active optometrist providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
301 S 4th Ave # C-2
Pocatello, ID 832016462
Mailing address
301 S 4th Ave # C-2
Pocatello, ID 832016462
Specialties
-
Optometrist PrimaryDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 000308200 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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